Fixing Healthcare’s Broken Pre-Authorization Model

Fixing Healthcare’s Broken Pre-Authorization Model

  • November 28, 2016

Among the processes that influence the healthcare revenue cycle, pre-authorization stands out—and not in a good way! Most provider organizations are still managing pre-authorizations the old fashioned way: manually, with paper, pen, fax, and phone. These ad hoc methods of securing and confirming payer approval for non-emergency medical services are error-prone and inefficient, and often lead to denied or rejected claims or, worse, delays in service. Few organizations file claims manually any longer. Why, then, are we still completing, filing, and managing pre-authorization requests as if it's 1980? Technology advancements finally make it possible for providers to standardize and centralize…

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HealthLeaders Survey Reveals Pre-Auth Pain Points, Ways To Streamline Authorization

HealthLeaders Survey Reveals Pre-Auth Pain Points, Ways to Streamline Authorization

  • October 21, 2016

Pre-service authorization is a tedious, time consuming, and costly process for most providers. And issues related to pre-authorization are a major source of claims denials.

Those are just some of the pre-authorization pain points reported by HealthLeaders Media in a new survey of 158 senior clinical, operations, marketing, and financial leaders from non-profit and for-profit providers nationwide.

The study, commissioned by RelayHealth Financial, ranks pre-service authorization pain points and helps identify areas where improved processes and technology could help streamline payment and reduce denials.

Read the research

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Learn How To Move Authorizations Into The Fast Lane

Learn How to Move Authorizations into the Fast Lane

  • October 13, 2016

Prior authorizations don't have to be a costly, tedious, or manual process. What if we could automate and streamline authorizations, so clinicians could request and receive an authorization in minutes if not seconds, without touching paper, phone, or a fax machine--and without ever leaving their preferred care management platform? We can now stop asking "what if?" McKesson and ZeOmega are bringing automated authorization with medical review to the forefront, because now ZeOmega's Jiva population health platform interoperates with McKesson’s InterQual Connect. See how it works. Discover how this partnership delivers on the promise of exception-based UM. And learn why it…

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RelayClearance Authorization Surpasses 635,000 Policy Screening Rules From 549 Payers

RelayClearance Authorization Surpasses 635,000 Policy Screening Rules from 549 Payers

  • October 4, 2016

Today RelayHealth Financial announced that its RelayClearance Authorization solution now includes more than 635,000 payer-specific authorization policy screening rules from 549 commercial, managed care, and government health plans. That means providers using RelayClearance Authorization have access to updated screening rules from payers covering more than 90% of covered lives. Read the news release

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Authorization Playing Catch Up With Technology

Authorization Playing Catch Up With Technology

  • September 1, 2016

Pre-authorization is time consuming, costly, can delay care, and is a major source of claims denials. Those are just a few of the pre-authorization pain points reported in a survey of C-suite provider executives nationwide. This white paper reports and ranks pre-authorization problems, delves into the issues, and provides a path forward  to improve pre-authorization to create more automated and streamlined system. Read now or download and read later

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Fixing Healthcare’s Broken Pre-Authorization Screening & Verification Model

Fixing Healthcare’s Broken Pre-Authorization Screening & Verification Model

  • June 27, 2016

Pre-authorizations can be costly, time-consuming, frustrating for all involved, and can account for a large percentage of denials. It's no surprise that health care networks are increasingly turning to technology to automate the process. Fixing Healthcare’s Broken Pre-Authorization Screening & Verification Model lays out how automation and other necessary components can transform the pre-auth process to be faster, more efficient, and more economical. Read now or download and read later

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Patient Access Groundhog Day

Patient Access Groundhog Day

  • June 24, 2016

This new video from RelayHealth Financial takes a humorous jab at the constant ID requests that patients have to provide along every step of their healthcare journey. Watch the video  

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